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1952475659
CAROLYN RUTH BRANDON
HERRIN, IL
NPI
1952475659
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180-002089)
Enumeration Date
2006-11-17
Last Update Date
2007-07-09
Business Address
Mrs. CAROLYN RUTH BRANDON PhD., LCPC
1220 S PARK AVE D
HERRIN, IL 62948-4128
Phone number: 618-988-1757
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Mailing Address
Mrs. CAROLYN RUTH BRANDON PhD., LCPC
1220 S PARK AVE D
HERRIN, IL 62948-4128
Phone number: 618-988-1757
Copy
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